﻿<div class="wrapper border-bottom white-bg page-heading">
	<div class="col-lg-pull-12">
		<ol class="breadcrumb">
			<li class="active">代付充值</li>
		</ol>
	</div>
</div>
<div ng-controller="billController">
	<form name="_form" class="form-horizontal w5c-form" w5c-form-validate="model.validateOptions" role="form" novalidate>
		<div class="form-group form-group-sm">
			<label class="col-sm-2 control-label">金额</label>
			<div class="col-sm-3">
				<input name="amount" type="text" ng-model="model.amount" class="form-control input-sm" required>
			</div>
		</div>
        <div class="form-group form-group-sm">
            <label class="col-sm-2 control-label">直接走账务</label>
			<div class="col-sm-3">
	            <label class="control-label">
	                <input type="checkbox" name="valid" ng-model="model.valid" ng-true-value="true" ng-false-value="false">
	            </label>
	        </div>
        </div>
		<div class="form-group form-group-sm">
			<div class="col-sm-3 col-lg-offset-2">
				<button type="submit" class="btn btn-primary btn-sm" w5c-form-submit="recharge()" btn-loading="psdisabled" loading-text="保存中..." ng-disabled="psdisabled">保存</button>
			</div>
		</div>
	</form>
</div>
